Burn Guidelines—An International Comparison

Koyro, Katharina I.; Bingoel, Alperen S.; Bucher, Florian; Vogt, Peter M.

doi:10.3390/ebj2030010

Cited by 15 publications

(9 citation statements)

References 30 publications

(62 reference statements)

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“…In reviewing the publications about burn treatments and patients over the past few decades, it was noted that the majority of the publications were concerned with infection control in the patients (Ayliffe, 1991; Tredget et al 1992; McManus et al , 1994; Bobrow and Thomas, 2000; Bayat et al , 2003; Muto et al , 2003; Ulrich et al , 2004; Rafla and Tredget, 2011; Cengiz, 2013; Bache et al , 2015; Issler-Fisher et al , 2016; Dash et al 2017; Ofir et al , 2018; Palmieri, 2019; Gus et al , 2021; Koyro et al , 2021; Chemali et al , 2021). The literature contains evidence-based studies on burn patients, such as the treatment method applied in burn centers in terms of annual numbers of patients and mortality rates.…”

Section: Discussionmentioning

confidence: 99%

Spatial infection control in burn center organization: a burn center design experience for evidence-based architecture

Şahin

Yavuz

Kesiktaş

2023

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Purpose This study discusses that the necessary criteria and the solution approach taken to resolve the main spatial infection problems with a burn center design should be evaluated holistically to achieve spatial infection control in a burn center. The burn center design plays an important role in protecting severely burned patients from infection because the microbial flora of the hospital can affect the infection risk. In hospitals, sterilization and disinfection are the basic components of infection prevention; however, the prevention and control of infection for burn patients also requires the design of burn centers that adhere to a specific set of criteria that considers spatial infection control in addition to appropriate burn treatment methods and treatments. In this study, a burn facility converted from a burn unit into a burn center is introduced and the necessary design inputs for the transformation are discussed because there is no holistic study in the literature that delas with all the spaces that should be in a burn center and relations between spaces. This study aims to define the functional relations between each of the units and the spaces that change according to different sterilization demands in the burn center for ensuring spatial infection control. Furthermore, it aims to propose a method for ensuring continuity in the control of spatial infections. Design/methodology/approach The burn care and health facilities guidelines are examined within the framework of spatial standards, together with a comprehensive literature review. The design method was based on the spread of microorganisms and the effect of human movement on space and spatial transitions in the burn center, according to all relevant literature reviews. To determine the extent to which the differences in treatment protocols of burn care guidelines were reflected in the space, interviews were conducted with burn facility officials. The plan–do–check–act (PDCA) method is also modeled to ensure the continuity of infection control in the burn center. Findings The burn center design findings are classified under three main headings, namely, location of the burn center in the hospital, spatial organization and physical features of the burn center and the air flowing system. The importance of the interactions among the criteria for spatial infection control has been revealed. Due to the physical space characteristics and air flow characteristics that change according to human movement and the way microorganisms spread, it has been seen that designing the air flow and architectural aspects together has an effective role in providing spatial infection control. Accordingly, a functional relation scheme for the center has been suggested. It is also proposed as a model to ensure the continuity of infection control in the burn center. Practical implications This research presents spatial measures for infection control in burn centers for practitioners in health-care settings such as designers, engineers, doctors and nurses. The PDCA method also leads to continuity of infection control for hospital management. Originality/value This is the first study, to the best of the authors’ knowledge, to focus on developing the criteria for spatial infection control in burn center. Moreover, the aim is to create a function chart that encompasses the relationships between the units within the burn center design so that infection control can be coordinated spatially.

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Section: Discussionmentioning

confidence: 99%

Spatial infection control in burn center organization: a burn center design experience for evidence-based architecture

Şahin

Yavuz

Kesiktaş

2023

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“…All patients were resuscitated according to Advanced Trauma Life Support (ATLS) guidelines [ 12 , 13 ]. Patients were hospitalized in accordance with the hospitalization criteria of the American Burn Association [ 14 ].…”

Section: Methodsmentioning

confidence: 99%

Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices

İÇER,

GÜNDÜZ,

GÜLOĞLU

et al. 2023

Turkish Journal of Medical Sciences

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Background/aim In many studies, shock indices have proven to be good tools for predicting mortality. In the present study, burn shock index (BSI), percentage of total body surface area burned (TBSA%) multiplied by shock index; burn modified shock index (BMSI), TBSA% multiplied by modified shock index; burn age shock index (BASI), TBSA% multiplied by age shock index; burn rivers shock index (BrSI), TBSA% multiplied by rivers shock index; burn rivers shock index multiplied by Glasgow Coma Scale score (BrSIG) were examined in burn patients. We defined these burn shock indices for the first time. This study aimed to evaluate the effectiveness of shock indices and burn shock indices in predicting mortality in burn patients. Materials and methods This study examines retrospectively of burn patients admitted to the emergency department of Dicle University Hospital between January 2010 and December 2022. The patients’ vital signs were obtained at the time of presentation to the emergency department, and shock indices were calculated. The effectiveness of shock indices in predicting mortality was compared. Results A total of 2445 patients were included in the study. Of the patients, 1793 were pediatric, and 652 were adults. BSI (AUC: 0.872, 95% confidence interval (CI): 0.812–0.931, p < 0.001) had the highest area under the curve (AUC) value in predicting mortality in children. The optimal cut-off value for BSI in children was 21.79 and its was sensitivity 83.05%, specificity 79.64%, positive predictive value (PPV) 12.19%, negative predictive value (NPV) 99.28%. In adults, BASI had the highest value of AUC (AUC: 0.936, 95% CI: 0.887–0.984, p < 0.001). The optimal cut-off value for BASI in adults was 62.5 and its sensitivity was 86.49%, specificity was 91.71%, PPV was 38.55%, and NPV was 99.12%. Conclusion Shock indices are easy to calculate and effective in predicting mortality in burn patients admitted to the emergency department. Among the shock indices in the study, BSI was the best in predicting mortality in children, and BASI was the best in adults.

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“…Der Umgang mit teilweise großflächigen Verbrennungswunden wird in der Literatur kontrovers diskutiert [13]. Ziel des pragmatischen, prähospitalen Wundmanagements von Verbrennungswunden ist die schnellstmögliche Antisepsis durch die Vermeidung weiterer Kontamination.…”

Section: Verband-und Oberflächenmanagementunclassified